Provider Demographics
NPI:1346249513
Name:PAULO-FRANCISCO, MARYLOU (DPM)
Entity Type:Individual
Prefix:DR
First Name:MARYLOU
Middle Name:
Last Name:PAULO-FRANCISCO
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10941 HAYDN DR
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33498-6751
Mailing Address - Country:US
Mailing Address - Phone:561-809-7605
Mailing Address - Fax:561-498-7626
Practice Address - Street 1:4800 LINTON BLVD
Practice Address - Street 2:F117
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33445-6584
Practice Address - Country:US
Practice Address - Phone:561-499-5151
Practice Address - Fax:461-499-6077
Is Sole Proprietor?:No
Enumeration Date:2005-07-19
Last Update Date:2018-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO 2608213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL65522AMedicare PIN
U66645Medicare UPIN
FL65522YMedicare PIN